| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $118.18 | $118.18 | $184.78 | |
BCBS
| Facility | $206.08 | $206.08 | $206.08 | |
BCBS
| Professional | $206.08 | $206.08 | $206.08 | |
Cigna
| Facility | $147.05 | $147.05 | $228.45 | |
Cigna
| Professional | $107.35 | $107.35 | $186.41 | |
United
| Professional | $84.60 | $93.61 | $103.92 |